# ASHRAF H. HANNA, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023328234
- **Authorized official:** DR. ASHRAF H. HANNA M.D. (PRESIDENT)
- **Authorized official phone:** (260) 422-1906

## Contact information

- **Practice address:** 4306 LAKE AVENUE, FORT WAYNE, IN 46815-7222
- **Practice address phone:** (260) 422-1906
- **Practice address fax:** (260) 422-1925
- **Mailing address:** 4306 LAKE AVENUE, FORT WAYNE, IN 46815-7222
- **Mailing address phone:** (260) 422-1906
- **Mailing address fax:** (260) 422-1925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01043537 | IN | Yes |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 07/17/2013